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HomeMy WebLinkAbout022-203-024i 22-2�0/3-/24 G. A. HAYDON )',n.&J "irJl S/SS 219 Hatings Avenue, Biggs Permit#710-85B,P,M(wtr htr enc, new gas line & wtr htr vent, gas wall htr 22-203-24 Frl Permit#3584-85E(ele ser/SF) j /to/ 04P 022-203-024 01-007 HAYDON, GEORGE 22-2�0/3-/24 G. A. HAYDON )',n.&J "irJl S/SS 219 Hatings Avenue, Biggs Permit#710-85B,P,M(wtr htr enc, new gas line & wtr htr vent, gas wall htr 22-203-24 Frl Permit#3584-85E(ele ser/SF) j /to/ 04P 022-203-024 01-007 HAYDON, GEORGE 219 HASTING., BIGGS N1 CONTR: NA ((o� REPLACE WINDOWS & SLIDERR 022-203-024 02- NAL D GRISSO, SILVANA O 219 HASTINGS AVE., BIG RE -ROOF & FRAMING REP 022-203-024 024956 GRISSO, SILVANA 219 HASTINGS AVE.,`BIGGS \ INSTALL (4) SKYLIGHTS t 022-203-024 3-1594 GRISSO, SILVANA 219 HASTINGS AVE, BIGGS 1_2_ REPLACE WINDOWS & DOORS ..'6 022-203-024 04-3228 GRISSO, JAMES 219 HASTINGS AVE, BIGGS Vq CON : OWNER NIISC REPAIRS/MAINTENANCE 022-203-024 04-3307 _'I S , .JAMES 219 HASTINGS AVE, BIGGS Cont: OWNER REPLACE EX DECK , -T 0-m-pop __a7 p 22,. 2a. B06-2850 022-203-024 MISCELLANEOUS Electrical MISC OUTDOOR WIRING 219 HASTINGS AVE GRISSO, JAMES E & SILV/N_A P). V2 -t& C BUTTE COUNTY n DEPARTMENT OF DEVELOPMENT SERVICES txZ i �I INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2850 Issued: 12/15/2006 1 Address: 219 HASTINGS AVE BIGGS I APN: 022-203-024 Permit Subtype: Electrical Owner: GRISSO, JAMES E & SILVANA P Applicant: GRISSO, JAMES E & SILVANA P Description: MISC OUTDOOR WIRING t MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING C ____Inspection Type I IVR INSP DATE Setbac s 132 Foundations / Footings 111 Pier/Column Footings 1 122 Grade Beams 114 Eufer Ground 1 216 Forms/Steel/Holdowns j 122 Do Not Pour Concrete Until Above are Signed Pre -Slab ; 124 Gas Test 404 Masonry Grout 1 120 Masonry Bond Beam 119 Underfloor Framing 1 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping i 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical j 316 Rough Electrical 208 Gas Piping 403 Roof Nail j 129 Shower Pan/Tub Test 408 Fire Sprinkler I 702 Do Not Insulate Until Above Signed Wall Insulation 1 117 Ceiling Insulation 1 118 Do Not Cover'Until Above Signed T -Bar Ceiling / RC 1 145 Gas Test 404 Stucco Lath 142 Stucco Scratch I 143 Stucco Brown I 144 Building Fina j 802 Electrical FinaV 803 Mechanical Final I 809 Plumbing Final i 813 Project Final 8017- PERMITS BECOME NULL AND VOID 1 YEAR FRO TE I I DRIA ITOR i _' 19 I COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy I / 4". COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at k`: the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. W-5 X: I tor Date Inspector 0 REV 4/05• Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 219 HASTINGS AVE Owner: Permit No: B06-2850 APN: 022-203-024 GRISSO, JAMES E & SILVANA Issued Date: 12/15/2006 By KEJ Permit type: MISCELLANEOUS 219 HASTINGS AVE Subtype: Electrical BIGGS, CA 95917 Expiration Date: 12/15/2007 Description: MISC OUTDOOR WIRING (530) 868-1013 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: GRISSO, JAMES E & SILVAN Building Garage RemdUAddn 219 HASTINGS AVE BIGGS, CA 95917 Other Porch/Patio Total (530) 868-1013 FEE INFORMATION Misc Residential Wiring $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1212 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisioi 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Secion 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 12/15/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors L.cense Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one un red dollars ($100) or less. ❑ IAM PT and action B. 8 P.C. for this reason: �I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall note toy any person in any manner so as to become subject to the Workers' Compensation laws alifornia, and agree that if I should become subject to the workers' the 12/15/2006 compensation provis of Section 3700 of the Labor Code, I shall forthwith with those wn nature Date 0.21 provisions. X 12/15/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILUR ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and ho:d harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SU CT EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE n' , including death, and property damage caused by, arising out of, or in any way connected with HUNDRED T. SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, t ssuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND u or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. tyto enter th ve mentioned property for inspection purposes. I hereby certify that I am the P arty own am uthorized to act o�] the pr a`rty owner's behalf. jLV/tnifi c�/LLM 12/15/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency a of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor QR; 1:1Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip NOTES No •�ee�s 1�-�T—Ca c,.l� RESIDENTIAL PERMIT NO. } 03-D -Do 3 Q4 Q �SAAOA �PTamiH DQ TPLAZT g 1 q Hosn NQS Ate- S)C-b5 pepiau EX Dec, C?4g ) SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) /_-s _7 Signatureyv ��7 0 e�� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP043307 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/17/2004 APN: 022-203-024-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 219 HASTINGS AVE BIG Date: Contractor. Map Index: Description: RPLC EX DECK (348) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires aGRISSO Owner: JAMES E & SILVANA P FAMILY REV. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of C/O GRISSO JAMES E & SILVANA P the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 219 HASTINGS AVE violation of Section 7031.5 by any applicant for a permit subjects the GRIDLEY CA 95948-9707 applicant to a civil penalty of not more than five hundred dollars ($500).): td� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and •the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, pp GRISSO JAMES E & SILVANA P FAMILY REV Applicant: provided that such improvements are not intended or offered for TRUST sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of C/O GRISSO JAMES E & SILVANA P proving that he or she did not build or improve for the purpose of TRUSTEES sale.): 219 HASTINGS AVE O 1, as owner of the property, am exclusively contracting with GRIDLEY, CA 95948-9707 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State ' ense Law.). ❑ I am Exempt under Article 3 of the sines nd fessions Code Contractor: Date: I( Owner: �— 0 ((— WORKERS'COMPENSATION DECLARATION I hereby affirm under penally of pe rj one of the following declarations: 13 1 have and will maintain n certificate of consent to self -insure for i (� workers' compensation, as provided for by Section 3700 of the 1 Labor Code, for the performance of the work for which this permit is issued. License #: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Carrier Engineer: Policy #: I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to Total Square Ft: 348 S.F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $3,480.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. Date: Applicant: +Failreo WARNING: secure workers' compensation coverage is unlawful, and shall bject an employer to criminal penalties and one hundred thousan dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i hereby issued under the applicable provisions of the Bntte County Cody+ anrt/or I hereby affirm that there is a construction lending agency for the Resolutions t do work indicated above forwhich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 4 Name: By rw✓ Date: 111 17. C 5 PERMIT IRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 33, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. ���1 Print Name: Signature: ,j Date: 1' VAI Owner L3Contractor ElAgent for Owner E3Agent for Contractor J=OK 0 = Not OK . = NotReadyable Water; MH Test -Regulator -Connector d MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Gas and Electricity Tagged 1. Zoning Requirements -Setbacks -Easements 10. 2. Soils; Special MH Support Sketch Cert. of Occupancy 3. Sewer; Location -Test -Fall -C/0 -Concrete Carports; Windows -Doors 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Date PERMANENT END SYSTEM (ONLY) 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 2. 7. Well Clearance & Disconnect Blocking 8. Utility Clearance 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected Date Gas and Electricity Tagged Card B-1 Date Card B-1 Date 10. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s POOLS (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 6. Carports; Windows -Doors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEgAS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s • . Z2ing Requirements -Setbacks -Easements Fo s; Soils -Size -Depth -Spacing -Connectors -Steel _.3 -'Decks, 4. Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready Date UN FLOOR (Plans) OK except #'s Zon i ng -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4.. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped _ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) , Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 36. A.C. Ducts Insulation & Support Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 37. Vent Fan, Exhaust above insulation Elec. Outlets & Receptacles at Kit. Counter 38. Condensate Drain & Overflow, Size & Grade Garage Fire Door; Swing -Landing -Closure f ` 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet A.C. Duct in Garage -Damper 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 80. 41. Sills Proper Materials & Anchors 81. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 82. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 83. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 84. 46. Headers & Beams -Size & Bearing 85. A.C. Unit Disconnect, Electrical -Plumbing v ti Date FRAMING (Continued) , 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure f ` 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks 0 Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0040 Issued: 01/09/2007 Address: 1156 LARKIN RD GRIDLEY APN: 024-100-048 Permit Subtype: Gas Reconnect Owner: MORGAN, HOLLIS V & FAYE O Applicant: FLETCHER'S PLUMBING AND CONTR Description: INSTALL GAS LINE MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR WSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eui Foi ^OFFICE COPY-'! �,.. Ined Pre Address r k Ga k Ma GAS t Ma Meter Un ELECTR—�� Un M Shi Under F of or Plum mg k Date/L� M k `- Date k 471"' Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 / ' p Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 / Project Final 801 PERMITS BECOME NULL AND -VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 219 HASTINGS AVE Owner: Permit No: B06-2850 APN: 022-203-024 GRISSO, JAMES E & SILVANA Issued Date: 12/15/2006 By KEJ Permit type: MISCELLANEOUS 219 HASTINGS AVE Subtype: Electrical BIGGS, CA 95917 Expiration Date: 12/15/2007 Description: MISC OUTDOOR WIRING (530) 868-1013 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: GRISSO, JAMES E & SILVAN Building Garage Remdl/Addn 219 HASTINGS AVE BIGGS, CA 95917 Other Porch/Patio Total (530)868-1013 FEE INFORMATION Mise Residential Wiring $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1212 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter,9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 12/15/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR A- WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section need not be competed if the permit is oron�llars ($100) or less. DI AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 12/15/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 12/15/2006 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on thero e p p rty owners behalf. CONSTRUCTION LENDING AGENCY 12/15/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR E]Agent for Owner DAgent for Contractor ASSESSOR COPY Lenders Address City State Zip I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 5384541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name S� irst NTew ftT n Mailing Addles T � �1�n 6S Ave Y City S State Zip qA1 1-7 Phon(�) la ) hT - E-mail Km ir k �1;-0 D , �%V11 _ _ . _ . APPLICANT INFORMATION CONTRACTOR Name , p w tl7L Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class _ _ . _ . APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number _ _ . _ . APPLICANT INFORMATION Name _ 6 a) K&_—j ., Address City State Zip Phone Fax E-mail SIGNATURE X For office use only* AP# Zoning Flood Zone SRA I Yes No Occ. Policy Number Type Const, Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. )b, -�1( BIN # PROJECT LOCATION AP# Property Address -41 HZTtrt MUC City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application: In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Receivedty: Amount: 15 — ^ Bldg I I C SO Date! `� J SRA Sheriff SMIP Other i Total Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. G If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal G income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY Z(HA7VE� ENT.�ORNO) 2. VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: MISC OUTDOOR WIRING Reference Number: B06-2850 Applicant Name: GRISSO, JAMES E ILVANA P Signature of Property Owner: Date: ( TI_t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043307 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/17/2004 APN: 022-203-024-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address • • 219 HASTINGS AVE BIG Date: Contractor: Map Index: Description: RPLC EX DECK (348) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: GRISSO JAMES E & SILVANA P FAMILY REV. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of C/O GRISSO JAMES E & SILVANA P the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 219 HASTINGS AVE violation of Section 7031.5 by any applicant for a permit subjects the GRIDLEY, CA 95948-9707 applicant to a civil penalty of not more than five hundred dollars ($500).): Lp� 1, as owner of the property, or my employees with wages as their ` sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: GRISSO JAMES E & SILVANA P FAMILY REV provided that such improvements are not intended or offered for TRUST sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of C/O GRISSO JAMES E 8r SILVANA P proving that he or she did not build or improve for the purpose of TRUSTEES sale.). 219 HASTINGS AVE ❑ 1, as owner of the property, am exclusively contracting with GRIDLEY, CA 95948-9707 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed nse Law.). pursuant to the Contractojthe ❑ 1 am Exempt under Articlenes nd 2fessions Code Contractor: Date: I ( Owner: WORKERS' COMPENSAT' N DECLARATION affirm I hereby arm under penalty of perj one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. License #: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Carrier: Engineer: Policy #: l I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to Total Square Ft: 348 S. F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $3,480.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. 114 Date: 42 Applicant: WARNING: Fail re o secure workers' compensation coverage is unlawful, and shall bject an employer to criminal penalties and one hundred thousan dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _ 41 B4G -fir �+' 150, 3.5 Iv 7. C54 CONSTRUCTION LENDING AGENCY This permit' hereby tissued under the applicable provisions of the Butte County Code ant /or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above forwhich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By Date: 1 % -- )7. 05 Address: PER ITE IRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 33, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. `� (LV P ---AA CAM Print Name: Signature: ,, j 11- [-I- V y Date: Owner Q Contractor 0 Agent for Owner ❑ Agent for Contractor �V'T'rF BUTTE COUNTY 0 v o DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0_ o AND SUBMITTAL REQUIREMENTS o ,-. =• 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 c0U Nay A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER CONTRACTOR Last Name %�.�! l�`G'� bel First Name Il Address TiY1 (A A-yEwg City tl , ro�l6 State C r► Zip Phone r { V g ID 15 Fax —Fa E-mail " Lot # APPLICANT CONTRACTOR Name p 1B Address Zp al�ll� City Fax � Q -1'0 State Zip —Phone am —Fa E-mail Lot # Lic. # Class APPLICANT ARCHITECT/ENGINEER Name City f Address Zp al�ll� City Fax � Q -1'0 State Zip Phone am Fax E-mail Lot # State License Number APPLICANT ��NAME Name S(LV�I A t�a�� (U Address 'Ag Oi r 4 u S e rs City f State Zp al�ll� Phon . 101'I Fax � Q -1'0 E-mail hQ IA OREN 10 �01 For offic se Wli AP# p�2 • 2�3 • o �4 Zoni Flood Zone SRA Yes No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Subdivision Name am Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMSMILDING FORV.,S\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO. BPo433o BIN # LOCATION AP# p�2 • 2�3 • o �4 Property Address �. l� t�i�7T1 ►-1 <o��' fTV � � G-� S Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY am Address Description or Scope of Work: 2Pl.G Irx C>E�_ C345 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:� e' Amount: 1 Bldg11 Receipt #: 41 W 7 SRA -Sheriff 3rj SMTP Date: if • 17.04- 150.S Other �Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13_ _Sanitation and sit�Jaa_asnvlrD=IifaLldealtb-Deparlment_ Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractors license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 4-1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ ] NO [ ]. +2. I HAVE [ ] HAVE NOT [ ] signed an application for a building permit for the proposed work. �. I have contracted with the following person (firm) to provide the proposed construction: NAME: ' ADDRESS: PHONE: , CONTRACTOR'S LICENSE NO: I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: * PROPERTY 0 -DATE: r NOTE: This! Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Y, i6� Miclfael C. Vieirl C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. pRZ?'?!E1VT � �o��TTFo� Department O o C o u n t y o C o ° J. Michael Crump, Director \0 c C'0 u A�eL1C of Public o f B u t Works t e (AND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 1 Construction Storm Water Permit and Storm WaterPollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 7 CRE Project Description: I ��--- Project Location and/or Parcel Number: By signing below,;L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: �I� ��- I Less than 1 Acre NFDES & SWPPP Compliance Certification ..._— III... i de.. .,M,t Program V TYP. It._ TIG PLYWOOD CC RT. -- vi MEE FRMIUb ' CLIP= ' co 27'x 120 STAIR STROZER. k8'n.c.. NIAX. ?OP VIEW N UIDRRIL . NOT 5HOINS • FDR CLARITY. rxG. DECKIlJ6 '(ALTA 3/g° BOLT ' S pa,ceA so -�hct� a- Y15. INS a' vi MEE FRMIUb ' CLIP= ' co 27'x 120 STAIR STROZER. k8'n.c.. NIAX. ?OP VIEW N UIDRRIL . NOT 5HOINS • FDR CLARITY. rxG. DECKIlJ6 '(ALTA 3/g° BOLT ' S pa,ceA so -�hct� a- Y15. .1'!a' TA G PLYWOOD CCEXT._ 2"µ4 � raz-3 +h ro c j 1 MOBILE IIDME m OR DE(.Y, a " � oc � 1 MR. FRMW --- — �� `• l MAX. CL1P (EA. DE 9'MIN `may •0 f4.µG. Zoe • Tx4' POST" ` 2'X 12' ��� • ..:—GUARDRAIL 09 -DF_ (12)9�9. 2'k4uPRESSURE' 7'RFA DECKIUG' • e"M N, GIRDER DOLTS RFDW00D• P1 AT E .' +�. '^ W PRECAST 41$99' POST •. 1 D--3o��s lER A • _ 6 I�' • .. BRAC NG.IAG0NAL TYPICAL RESIDE'JVTM frolff ANv/ap1`CK BI?o433o �o V N BOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 95965 14 wl MIN. F'�oT 1 NF, 7 County Center Drive — Orovtlle. Ce1110rNe "Telephone: NsPFcro a-ro vE,e, � APPROVED SETBRcseS . ' I� � 1� 1! 1 i I i I i i I I►� I i I i I i 1 1 1 1 ( t I, - tt _�.�_. �c �� _. _ I_ i i_ i I� ► i l l l l 1 I I I��— .y IN . . . I . . . . I I i I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT j 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043228 Y LICENSED CONTRACTORS DECLARATION that I licensed under I hereby affirm under penalty of perjury am provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN• 022-203-024000 the Business and Professions Code, and my license is in full force and ( effect. I License Class: � License Number Site Address: 219 HASTINGS AVE BIG `• Date: Contractor: a Map Index: + P Description: replace 7 windows, 3 doors, maintenance and OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law1for the following reason (Sec. 7031.5 repair Business and Professions Code' Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: GRISSO JAMES E & SILVANA P FAMILY REV signed statement that he or she is licensed pursuant to the provisions of TRUST the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or C/O GRISSO JAMES E & SILVANA P she is exempt therefrom and the basis for the alleged exemption. Any TRUSTEES violation of Section 7031.5 by any applicant for a permit subjects the r r 219 HASTINGS AVE applicant to a civil penalty of not more than five hundred dollars ($500).): GRIDLEY, CA 95948-9707 I, as owner of the property, or my employees with wages as their i sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and. Professions Code: The Contractors' State License Law does not apply to an f ' owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, i provided that such improvements are not intended or offered for Applicant: GRISSO JAMES E & SILVANA P FAMILY REV sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden .of TRUST proving that he or she did not build or improve for the purpose of C/O GRISSO JAMES E & SILVANA P sale.). i TRUSTEES ❑ 1, as owner of the property, am exclusively contracting with 219 HASTINGS AVE licensed contractors to construct the project (Sec. 7044, Business GRIDLEY, CA 95948-9707 and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project ith a contractor(s) licensed pursuant to the Contractors State Li se Law.). ❑ I am Exempt under Article 3 of Hie B inass ofessions Code f Date: «S V Owner: Contractor: C WORKERS' COMPENS IO DECLARATION I hereby affirm under penalty of p ury one of the following declarations: ❑ 1 have and will maintain a !certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the kt Labor Code, for the performance' of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as License #: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: i i Architect: Carrier: 1 Engineer: Policy #: I certify that in the performance of the work for which this permit is issued, 1 shall not employ!any person in any manner so as to become subject to the workers' compensation laws of California. Total Ft' 0 S. F. - and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Valuation: $0.00 forthwith comply with those provisions. Census Code: {{ ,/ Date: Qf C U i Applicant: l I WARNING: Failure secure I workers' compensation coverage is unlawful, and shall s ject an employer to criminal penalties and one + hundred thousand ollars ($100,000), in addition to the cost of compensation, da ages as provided for in Section 3706 of the Labor — { —A) code, interest, a d attorney's fees+`. — - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrvor I hereby affirm that there is a construction lending agency for the Resolu ' n o dp work in i to b ve f (which fees have been paid. r1+— performance of the work for which this permit is issued (Sec 3097 Civ.) % B Date: /` V Name: J PERMIT EXPIRES ON: vJ� Address: (Dbte)/ ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled cc i clion of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the dulylaut d age of the ow er. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official f r d menI of Byte County. I hereby authorize representatives ooff BunteCounty to enter upon tthhe� above mentioned property for inspection purposes. � Print Name: \( 1"r (+ 1N'r "• Signature: Date: ❑ 0 Agent for Contractor Owner ❑ Contractor Agent for Owner , , , CO,UNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE SS PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date I t v ' `� Inspector REV 10/92 A" a �s BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netlidds PERMIT NO. BP043228 LICENSED CONTRACTORS DECLARATION // Q I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN• 022-203-024-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 219 HASTINGS AVE BIG Date: Contractor.' Map Index: Description: replace 7 windows, 3 doors, maintenance and OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 repair Business and Professions Code: I Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: GRISSO JAMES E & SILVANA P FAMILY REV signed statement that he or she isllicensed pursuant to the provisions of TRUST the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or C/O GRISSO JAMES E & SILVANA P she is exempt therefrom and the basis for the alleged exemption. Any TRUSTEES violation of Section 7031.5 by any applicant for a permit subjects the 219 HASTINGS AVE applicant to a civil penalty of not more than five hundred dollars ($500).): GRIDLEY, CA 95948-9707 qr� I, as owner of the property, or my employees with wages as their sole compensation, will do; the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for Applicant: GRISSO JAMES E & SILVANA P FAMILY REV sale. If however, the building or improvements are sold within one TRUST year of completion, the owner -builder will have the burden of proving that he or she did nit build or improve for the purpose of C/O GRISSO JAMES E & SILVANA P sale.). TRUSTEES ❑ I, as owner of the property, am exclusively contracting with 219 HASTINGS AVE licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The 'Contractors' State License Law does GRIDLEY, CA 95948-9707 not apply to an owner of property who builds or improves thereon, and who contracts for such project ith a contractor(s) licensed pursuant to the Contractors' State L• se Law.). I LII am Exemptunder Article 3 of tliiie B iness ofessions Code II Date: Y 1 Owner: Contractor: WORKERWCOMPENSOIOT4 DECLARATION I hereby affirm under penalty of pellury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as License #: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Carrier: I Engineer: j Policy #: i I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California , Total Square Ft' ' 0 S. F. Q and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Valuation: $0.00 forthwith comply with those provisions. �,( I � '1 Census Code: Date: � ' � ' V � b f, '� Applicant: I I is WARNIN7daages secure workers' compensation coverage unlawful,ect an employer to criminal penalties and one ��� hundredlars ($100,000), in addition to the cost of compensas provided for in Section 3706 of the Labor -code, intey's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR ?nrvor I hereby affirm that there is a construction lending agency for the Resolu n o dp work in i to ve f which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) %l Name: B Date: 65 Address: PERMIT EXPIRES ON: to ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled c ction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is cored, and that I am the owner or the duly}aut d age of the ow er. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official f r d ment of B e County. I hereby authorize representatives Butte CCountty to enter upon above mentioned property for inspection purposes. (olffQ�the P � LV Print Name: \l f I t V!-� ""` v v Signature: (l3� Date: I ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P (Rev. 12/96) APPLICATION ANDPERMIT ASS ESSOR PARCEL NUMBER 022-203-024 ZCNING 1 BUILDING PERMIT OWNER orisso Silvana TELEPHONE 868-1013 SO, Fr, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 219 HASTINGS AVE. BIGGS CA 95917 FST 3,900- CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 219 HASTINGS AVE. BIGGS Energy Plan Checking Fee $ $ PERMIT FEE S 83,00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF lX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others Describe Work: REPLACE J WINDOWS, 3 DOORS, 1 SKYLIGHT & Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawlor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IGOOA 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( 3 ACC, OCC. s0 3.5QFT: NEW CONST. NEW CONST. MULTI .-CIRCUITS g7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS @'.550 OR Ex. Occup. OUTLETs(Ra.) EA. 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation J of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not emp any person in any manner so as to become subject to workers' compen n laws of California, and agree that 'rf I should become subject to the workers' mpensation provisions of section 3700 of the Labor Code, I shall forthwit ply wit a provisions. X Date � Z' b� Signatu of - icant - Owner ❑ Contractor ❑ Agent An OSHA per i is required or excavations over 60" deep and demolition or construction of structures o r 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $83.00 ffi HAZ. D FEES IMP FLOOD CDF pgRCEL pp HD ISS LI This permit is hereby issued under of the Butte County Code and/or indicated above for which fe ha B PERMIT EXPIRES ON ty the applicable provisions Resolutions to do work a been paid. D e a3 of ReceiptNo. 381850 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /);?_ E;Unad �y 12/g6) APPLICATION AND PERMIT 2- ASSESSOR PIiRCEl NJ►IBEA �Z 0 zO"1N° BUILDING PERMIT OWNER NE BtJ s - s MADDIMM CONTRACT= rELF9MONE 00 cOMSTm,CnDN LENDER Fireplace umDERs uuuNc ADDR-Ess Total Valuation $' ARp1IrECT oR ENGINEER ucErsE NO. Firma Fes S 2D.00 Permit Fee S � ARCNRECT 'OR ENOWEERS M*AM ADDRESS Plan Checking Fee S' WIDWS ADDRESS 7,,lEnergy Plan Checking Fee >➢ . S • PERMIT FEE S LOT rm. .. ._..---..___. _... tUeDIVISEWS MWE ..-'-'----------.._..--'--'-- -'-'---'-'-----.---._.. PA7 MAP PLUMBING PERMIT Fang Fee 20.00 Each Tr 7:OD — USEOFSTRUCTURE SF ❑ Duplex ❑ Nbbllehome ❑ Other car Soler or heat pump water heater 23.00 Water piping 1 Each cas water heater or vent t 5.00 TYPE OF WORK New ❑ Addition ❑ model ❑ LOlies ❑ In Other ❑ /f Q _ ribe W k: w Gas piping rystem t - 5 out 15.00 Building sewer 15.00 Mobile Home . S G W a20.0o PERMIT FEE S r ELECTRICAL PERMIT Firing Fee 20.00 Main Service(=0 0 oa � 23.01) • �� e S� Sill. O �� 4 a Nk 10c, t4+.��� t1 Main Service 2DOA TO Io00A 46.00 NEW cors . DWELL O DOCUP. 3.5¢ OR ADDNS, i ,SCC. K.DS. MW No"ESID. • MULT}OLlTL.ET a7 D POWER APPAAIIT{& : 6dOLE OLRLFT f�i Ex. O=u . OUTLET OR FWMIRES2D @1.00 BAL O .50 . Ex. Occup. S.DD Temporary Service 23.00 Moble Home Facilities 20.00 V=. Wring 23.00 PERMIT FEE S MECHANICAL PERMIT Firing Fee 20.DO Heating CODrrn Hood 50 ventilation PERMIT FOE S Moble Home Installation Fes S Energy Inspection Fee S obc CONST.TYPE FEE $ WIZ. D. FEES IMP I FLOOD I CDP PARCEL PD to tis JE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Palo O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature.. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. I 1. I personally plan to provide the ajor labor and materials for construction of the proposed propertyunp ovement : YES NO 112. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: i CONTRACTOR'S LICENSE NO. 4. I plan to provide -portions of this work, but I have hired the following person to coordinate, supervise,and provide the major work: NAME: ADDRESS: CITY: . PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME I ADDRESS PHONE TYPE OF WORK NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit I OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.-1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C:B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health mud Safety Code. M _ I NOTES f RESIDENTIAL _ ✓ _� G PERMIT NO. - 022-203-024 _ 02-1956 GRISSO, SILVANA 219 HASTINGS AVE., BIGGS INSTALL (4) SKYLIGHTS lJ� o 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) U Signature CHECKED BY V= CK 0 = Not OK - = Not Applicable MOBILE HOMES * = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'tt. / /'Nat. or / , /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. _ Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,/ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Date Underfloor (Plans) OK except #'s FINAL (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Ext. Steps -Door & Sidelight Protection -Landings 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Smoke Detector 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bedroom Exiting 5. Stemwalls, Main; Steel-Blockouts-Wrapped G.F.I. & Bath Fixtures & Tub Access -Spa 6. Stemwalls, Garage; Sfeel- Blockouts-Wrapped Elec. Trim & Subpanel, Breaker Sizes & Labels 6a. Hold Downs and Special Anchors Stairs & Rails 7. Slab, Steel -Wrapped Fireplace or Stove, Clearance -Hearth 8. Piers -Fireplace Ftg.-Steel Elec. Outlets at Wood Panel, Int. & Ext. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Elec. Outlets & Receptacles at Kit. Counter 11. Water Pipe; Test -Anchors -Regulator -Service Test Garage Fire Door; Swing -Landing -Closure 12. Electric Underground A.C. Duct in Garage -Damper 13. Plenums & Ducts; Clearance -Material -Support -Ins. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Plb., Elec. & Mech. Equip. Listed for Location 15. Access & Ventilation Elec. Receptacles in Garage (F.F.I.)-Romex Protection 16. Insulation Insulation -Foam -Looked in Attic 80. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Following Instld./Drive J Yes ] No/Walks :J Yes D No/Planters 7 Yes ] No 17. Water Htr.; Vent -Access -Combustion Air Baffle Stucco Brown -Finish 18. Water Pipe; Test & Anchor -Nail Protection A.C. Unit Disconnect, Electrical -Plumbing 19. D.W.V.; Test Fittings & Anchor -Nail Protection i Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 20. Shower Pan; Test, First Floor -Tub Access Water Well, Disconnect, Electrical, Plumbing 21. Test Tub & Shower, Second Floor -Tub Access Exterior Elec. Trim, G.F.I. Receptacle -Underground 22. Gas Pipe; Sixe & Anchors Ventilation Throughout House 89. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Water & Sewer Connected -C/O to Grade -HD Approval 23. Fixture & Transformer Clearance -Ins. Protection Energy Compliance Certificate -Other Certificates 24. Elec. Receptacles Spacing -Lights & Switches at Doors Address Posted 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 27. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water Card B-1 Date Card B-1 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes ] No/Walks :J Yes D No/Planters 7 Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. i Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-1956 ASSESSOR PARCEL NUMBER 022-203-024 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS HASTINGS219 CONTR. HT. 2,000.00 CONTRACTOR'S NAME owmm TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 2,0 0.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 219 HASTINGS AVE- RIGLS CA Energy Plan Checking Fee $ $ PERMIT FEE $ 74,00 LOT NO. SUBDNLSION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 4 (FOUR) SKYLIGHTS NE4J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.".A OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force'and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law J,6r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Mein Service 200A To +000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( 8 ACC. BUDS. 3.5¢FT. rroµRESD. MULTI.OUTLET 97.50 APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ I.50 Ex. Occu SAL @ .so Ex. Occup. OFlxuTLEEDTs A o OFRORA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) . ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employany person in any manner so as to become subject to workers' compens 'on laws of California, and agree that f I should become subject to the workers' mpensatio rovisions of section 3700 of the Labor Code, I shall forthwithply th Is provisions. J X Date 1 Signature oficant - Owner ❑ Contractor 13Agent An OSHA permit required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD CDF PARCEL pp HD SSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fe shave been paid. B Date . 7-22-02 PERMIT EXPIRES ON 7-22-03 Date ReceiptNo. 360593 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT X O`VNER-BUILDER VERIFICATION AZention Property Owner: An "owner -builder" building permit has been applied for in your name and beating your signapue. Please complete and return this information at your earliest opportunity to avoid ecxasatp delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ajor labor and materials for construction of the proposed property im vement : YESNO 13 2. I HAVE a ' HAVE NOT 0 signed an application for a building permit for the proposed WO& 3. I have contracted with the following person (firm) to provide the proposed cons trucda®: NAME: ADDRESS: CITY: 4 PHONE: CONTR.kCTOR'S LICENSE NO.. I plan to provide portions of this work, supervise, and provide the major work: N:MNIE: ADDRESS: PHOr-E: but I have hired the following person to coordinate, CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME DRESS PHONE TYPE OF WORK - Vvleuv►��sJ TJ A QAA SIGNED: PROPERTYOWNER: SOCIAL �), DATE: I, -1z -DV NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 OF& California Health and Safety Code. This verification must be compleW Awd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Cel: Procerty Ow-_" An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. f f your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family. and the worst (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ [L you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may Ee financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific inforrnafion about your obligations under Federal Law, contract the Internal Revenue Service (and, ii you wish, the U.S. Small Business Administration). For more specific information about your obligations under Sate Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. I; the stnicn:re is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this forth so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, X6A_1 Jge el C. Vi ira, C.B.O. r, Building Inspection NOTE: Tris Owner -Builder Information is required by Section 19810 of the Calijornla Health and Safety Cady OVER -to -:)a H i �Pj,- Tra� i? -,-1 " D-) f, 4v 1 Il-l- --- -----`---`--^- � -��---------'°----[_r----kA AA Ct IL al- NOTES RESIDENTIAL 022-203-024 01-0077 HAYDON,GEORGE 219 HASTING., BIGGS CONTR: NA REPLACE WINDOWS & SLIDER SPECIAL CONDITIONS CHECKED + BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER l JOB FINALED i Signature FS V= OK 0 = Not OK - = Not Applicable MOBILE HOMES ' • =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special M'-1 Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 6. Gas; Location -Test -Wrap; -/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 5. 7. Well Clearance & Disconnect 8. Utility Clearance Carports; Windows -Doors 7. Electric Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Roof; Shthg-Roofing 2. Footings; Size -Spacing -Marriage Line 11. 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Braced Wall Panels 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Date 7- Water and Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch FINAL (Plans) OK except #'s 11. Cert. of Occupancy 1. 12. Permanent Foundation Only; License Decal 2. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 A . MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Date 6a. Hold Downs and Special Anchors Sills Proper Materials & Anchors 7. Slab, Steel -Wrapped 42. 8. Piers -Fireplace Ftg.-Steel Draft Stop in Walls (rat proof) 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 45. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Property Line Firewall & Openings 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. 12. Electric Underground Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 13. Plenums & Ducts; Clearance -Material -Support -Ins. 64. 14. Girders -Sills -Anchor Bolts -Joists - Vent s-Crippies Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Access & Ventilation 67. 16. Insulation Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter PLUMBING (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 17. Water Htr.; Vent -Access -Combustion Air Baffle 76. 18. Water Pipe; Test & Anchor -Nail Protection Plb., Elec. & Mech. Equip. Listed for Location 19 D.W.V.; Test Fittings & Anchor -Nail Protection 79. 20. Shower Pan; Test, First Floor -Tub Access Guard Rails & Deck Construction -Post Caps 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral U Yes U No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls- indows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor U Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965'e Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 022-203-024 ZONING BUILDING PERMIT OWNER GEORGE HAYDON TELEPHONE 868-1373 SO. FT. OCC. BUILDING VALUATION EST 2500,00 . OWNERS MAILING ADDRESS OBO28 GRIDLEY 95948 CONTRACTOR'S E UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 2500.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 74.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE WINDOWS AND ADD SLIDER IN LIVIN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home IS I G I W r@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereb ffirm under penalty of perjury that I am exempt from the Contractors License the following reason: I, as owner of the property, or my employees with wages as their sole compensation, I do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNq OCCUP. ( NRA 3.5Qso CONS . MULrn-ourLIC Nor�REsID. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. ovnETOR FOMAES B 20 L @ .50 Ex. Occup. ..'E AE.ssID.o.', 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1z V 2Xigr Date 'LZ �! ature of Applicant - O ner ❑ Contractor ❑ Agent An OSHA permit is required for excav 5'0" deep and demolition or construction of structures over 3 stories in t. Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE EE $ 74.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD I HD I IS UE This permit is hereby issued under of th Butte County Code and/or Indic to 0 r w ch fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D to 040 9 ate ReceiptNo. WHITE-D.D.S.-B.D. CANARY- SES S0R Pi," -INSPECTOR GOLDENROD -APPLICANT GEORGE HAYDON P.O. BOX 928 GRIDLEY, CA ;95948 B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 Re: Buydi(ng Permit � 01-0077 Expiration Date: 1../12/01 A.P.# 022-203-024 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [X] Permit work started, but not completed. Permit may be renewed for '/� the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are ;unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the office. Thank you for your prompt attention concerning this matter Y.QVrs very truly, , C. Vieira, C.B.O. Building Inspection MCV:lt Attachments Chico Office - 411 Main Street, Chico / 891-2751 a; Permit #3584-85E George Haydon 219 Hastings, Biggs d OFFICE COPY Address GAS Meter By ELECTRIC Date_ Meter By Date(: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, ialifornia 95965 - Telephone 916/534-4541 APPLICATION AND, POMIT PERMIT NO. ASSESSOR PARCEL NUMBER L56-3 ZONING BUILDING PERMIT OWNER- 3 ,�,_ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS i n r' :,-' C/.?& e f' I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$• Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 /lL 'Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP - Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 0. No 10.00 w� Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification � I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N\ +/zQsgft OR ADDNS. ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SAL030 eAL930 %\ Ex. Occup. OUTLETSED P(RESID )REA.J 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 / j,� Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rI I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against,said County in consequence of the granting of this permit.. Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for exovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ,q OCCUP. CONST.TYPE I 7LOODIPARCELI Po I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. % —757 WHITE-D.P.W.. YELLOW-AS3E330R, PINK -INSPECTOR, GOLDENROD -APPLICANT �1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AWPUMIT PERMIT NO. ASSESSOR PARCEL NUBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION O WNE(\�;'S Mq�AI L(Ip�`1�G�.�ADDR ESS / lJ Orlc�� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty I $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 g( Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V R Main service 100 AMP ORSLESS 10.00 jo. Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): j� ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCU1.8 2/,z¢sgft OR ACDNS. (ACC. BLDGS. NEW CONST R. RANCH TLET NON•RESID BRANCH CIRC ITS 2,50 ea CIRCUITS) /POWER APPARATUS e\ \SINGLE OUTLET CIR. / Ex. Occup(ouTLETs OR FIXTURES SALO 30 200090 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 15.00 g t� r Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. >< I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also a ee to save, indemni and keep harmless the County of Butte ag inst all Iia I s, judgments, sts, and expenses which may in any way crue against a' unt in c sequence of the gr ting of this permit. %� Date ��' Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for ex-avations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ = TOTAL PERMIT FEE $ ,po occuP. CONST.TYPEJ IFLOODIPARCELI PD No ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RECTO U IC WORKS © < BY Dat �4d7 PERMIT EXPIRE ate Receipt No. / b 7 WNIT!-D.P.W.. TELLOW-ASBL990R, PINK -INSPECTOR, GOLDENROD -APPLICANT G.A. HAYDON 710-85 219 Hastings Ave., Biggs i 7-6 �1 • I . 11,e4 WS OFFICE COPY Address COUNTY OF BUTTE - DEPARTMENT QF PUBLIC WORKS',' PERMIT NO.. 7 County Center Drive - Oroville, California 95965 , Telephone 916/534'4541 APPLICAVON AND PERMIT ' ASSESSOR PARCEL NUMBER ZONING 1. BUILDING PERMIT OWNER/"yj-)^ ,^ �T/E(L�EPHOyN�E' SQ. FT. OCC. BUILDING VALUATION' OWNER'S MAILING ADDRESS CONTRACTOR'S NAME l7 Y TELEPHQNE' CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$• Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS V P Nasi tnns- PLUMBING PERMIT Filing Fee 10.00 • U Each Trap 2.00 Solar Water Heater 20.00 f o ,) C Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL•, MAP V J Each qas water heater or vent 5.00 A-7)^ Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE � SF 0- Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remood-eI Utilities [:] Installation[–] Other O� Describe work: -Li �� nf1=. �n �1��- �� r 'P —" l��01 A) _ Ln C, 1 �h �P �t tJli �-4 tp�t1 �-- �M Permit Fee $ r%.nr) Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR L Main service 100 AMP ORSLESS 10.00 �� l r Main service EA. ADD -L too AMP 2.50 NEW CONST • DWELLING OCCUP.8, OR ADDNS. ACC. BLDGS. 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt..9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ;QI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) % ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. -,,Business and Professions Code for this reason NEW CONSTR MULTI -CUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &\\ NON-RESID.( %SINGLE OUTLET CIR. Ex. Occup\OUTLETS OR FIXTURES BALL@90 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA,/ 2.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ' ❑ The permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: -If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating L . F)n Cooling Hood 3.00 Ventilation permit Fee $ / /_ .71F, Contractor _ ' I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue[—I against said County in consequence of the granting of this permit. / A" � � �_ y.,7 X - 4' ,! - ����*� Date *0 Signature of Applicant —�, Owner© ,'Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structure; over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ � U ,- U OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD s This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC�TOOR_ OF PUBLIC B i �--'�--'�_— y PERMIT EXPIRES Date 1~~ the applicable provi- resolutions to do fees have been paid. WORKS Date _ ~I -- '( Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT J , COUNTY Of= BUTTE - DEPARTMENT'OF PUBLIC WORKS,-,. -PERMIT NO. 7 County Center .Drive - OroviIIe, Calif oriiia 95965'- Telephone 916/534=4541 INA 2/ APPLICATION "AND P RMIT ASSESSOR PP CEJ. t�}jM ER ^ ZONING , ' -� r BUI_-1DING ERMIT OWNS 0— TEL PHONE' SQ. FT. OCC. BUILDING VALUAT N O R'S AILING ADDRESS " .� i✓ CONTRACT—'S N ME © LEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS - SS 1l PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PA 10E AP- Each qas Water heater or vent 5.00 b Gas piping system 1 - 5 outlets 5.00 p �/ USE OF STRUCTURE SF L'1 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G WI 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ti lities El Installation P Other Describe work: hn C f� r p --� i c _ ` " lf�/y C/V` •..._, C, Permit Fee $ 6 Contractor ELECTRICAL PERMIT Filing Fee 10.00 100V OR LESS Main service 600 AMP OR LESS 10.00 Main service EA. ADO'L 600 AMP 2.50 NEW CONST, DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 1 2/20sq it - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET 2.50 ea NON.RESID BRANCH CIR ITS NEW CONSTR. POWER APPARATUS .&) NON-RESID. (SINGLE OUTLET CIR. Ex, Occup(OUTLETS OR FIXTURES 02 50 FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee - $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ mo Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju gments, costs, and expenses which may in any way accrue against said Co Ity in con uence o the granting of this permit. �( �j ��'� L Date �J/ Signature of Applicant — Owner tj4� Vontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ -� CCUP. GROUP I TYPE OF CONST, JPARCELJ Po I ND ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By 93e4 P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ✓� ���� y Receipt No. / 193 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Beilby & Benson General Insurance P. O. Box 216 Gridley, California 9591+8 INSURED George A. Haydon &: Sara B. Haydon P. 0. Box 928 Gridley$ California 95948 March 1. 51 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE LETTERNY A Fireman's Fund Innurance Company COMPANY B LETTER COMPANY LETTER C COMPANY p LETTER COMPANY E LETTER THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- TIONS OF SUCH POLICIES. COPOLICY TYPE OF INSURANCE POLICY NUMBER EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS EACH AGGREGATE LTR DATE (MWDD/YY) DATE (MM/DD/YY) GENERAL LIABILITY BODILY -OCCURRENCE COMPREHENSIVE FORM INJURY $ $ PREMISES/OPERATIONS PROPERTY UNDERGROUND DAMAGE $ $ EXPLOSION & COLLAPSE HAZARD '1 PRODUCTS/COMPLETED OPERATIONS �• CONTRACTUAL BI&PD= COMBINED, $ $ INDEPENDENT CONTRACTORS ' BROAD FORM PROPERTY DAMAGE ` PERSONAL INJURY PERSONAL. INJURY $ AUTOMOBILE LIABILITY BODILY INJURY $ ANY AUTO (PER PERS0N ALL OWNED AUTOS (PRIV. PASS.) j BODILY ALL OWNED AUTOS PRI(HER RPASS. (PER AWDENT) $ HIRED AUTOS PROPERTY DAMAGE $ NON -OWNED AUTOS GARAGE LIABILITY BI 8 PD COMBINED $ EXCESS LIABILITY UMBRELLA FORM BI & PD COMBINED $ $ OTHER THAN UMBRELLA FORM STATUTORY WORKERS' COMPENSATION (EACH ACCIDENT) AND pp p ABL'' 6 080 1.958 2A/85 5/1/85 (DISEASE -POLICY LIMIT) EMPLOYERS' LIABILITY $ (DISEASE -EACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONSJLOCATIONSNEHICLES/SPECIAL ITEMS County of Butte Dept. of Public Works -Bldg lliv. 7 County Center Drive Oroville, California 95965 y .,:_ SHOULD ANY OF TH ABOVE DESCRIBED PIRALION DATE HEREOFp THE ISS MAIL 7.V DAY WRITTENINOTICE TO/ Lance Benso: (CIES BE CANCELLED BEFORE THE EX- COMPANY WILL 40 CERTIFICAyf HOLDER NAMED TO THE 1, 022-203-024 02-1658 GRISSO, SILVANA 219 HASTINGS AVE., BIGGS RE-ROOF & FRAMING REPAIR /. Id iviv i /,vIvv 1-1 I 'j jN ko e. Y (Rev. 12/96) t' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 .APPLICATION AND PERMIT ' 02-1658 t _ -. PERMIT N0. ASSESSOR PARCEL NUMBER 022-203-024 ZONING A S BUILDING PERMIT tG USSO, SILVANA TELEPHONE o NEFie tiiAltrl� AbDR Ssa AVE. . D G S � i 9 / OWNER SO. FT. OCC. BUILDING VALUATION 30 1. 900, CONT EST 700.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 2950.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee '$ 20.00 Permit Fee $ 7 ARCHITECT OR ENGINEERS "UNG ADDRESS t' Plan Checking Fee $ BUILDINGADDRESS 219 HASTINGS AVE. BIGGS, CA 95917$ Energy Plan Checking Fee $ PERMIT FEE $ 92.0 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF YD Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑;K Describe Work: REROOF AND ROOF FRAMING REPAIR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home TS I GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00' _-VoR LEss Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation,Mobile will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason " WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person - in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply..with those provisions. X .. - n-__—;. `# Date '.�'� Signature of Applicart'- ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. s0 OR ADONS. ( d ACC. OCS. 3.50FT. NOµgXID MULTI.OUTLET Qn 7.50 S OWER APPARATUT CIR. 8 SINGLE OUTLE Ex. Occu . OUTLET OR PS REs zo @ 1.00 BAL o so FIXED APPtNS. OR S.00 I Ex. Occup. 0. RESID. EA II Temporary Service 23.00 Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 9 MECHANICAL PERMIT Filing Fee 20.0 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 92.00 HAZ. D FEES IMP FLOOD CDF PARCEL PD HD ISSN II This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work' indicated above for which fees have been paid. B �� �qate y 1�.� PERMIT EXPIRE, S ON �� L) ate Receipt No. • .. WHITE-D.D.S.-B.D. e GIANARY-ASSESSOR PINK4NSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 02-1658 PERMIT NO. ASSESSOR PARCEL NUMBER - 022-203-024 ZONING BUILDING PERMIT ORTSSO, SILVANA TELEPHONE S , CA 95917 OWNER SO. FT. OCC. BUILDING VALUATION 30 SQ 1,800.00 CONT EST 700.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ' Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 2,500.00 ARCHITECT OR ENGINEER LICENSE N0. Fee $ 20.00 —Filing Permit Fee $ 7 2 , Q ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 219 HASTINGS AVE. B G Energy Plan Checking Fee $ $ PERMIT FEE $ 92 . Q LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF XI Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑' Remodel ❑ Unities ❑ Installation ❑ Other ❑x Describe work: REROOF AND ROOF FRAMING REPAIR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V 0 LE S Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number I(The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ y person in any manner so as to become subject to workers' compensatio aws of California, and agree that if I should become subject to the workers' co nsation provisions of section 3700 of the Labor Code, I shall forthwith Com wRh th se p visions. I, X Date " Signature of Appli - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is re ired for excavations over 60" deep and demolition or construction of structures over stories in height. Main Service 46.00 WE NG CCU000A NEW CONST. DWEILNIG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50 FT. NOµR61D. MULTI.OU CIRCUITS@7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup.OUTLETOUTLET OR FOCTURES BA20 p I..00 Ex. Occup. Our�TAP M.DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation - PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 92.00 HAZ. D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. (13 y y `_ '� _//D"ate PERMIT EXPIRES OITE-D.D.S.-B.D. Date rReceiptNo. NARY -ASS S R PINK N CTOR . GOLDENROD•APPLICANT O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete. and return this information at your earliest opportunity to avoid unaecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction. of the proposed property improvement: YES � NO O 2. I HAVE � HAVE NOT 13 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: S Um A ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _I"IM PHONE: CITY: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK n SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUINIBER: DATE: 6"14"av NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of lbs California Health and Safety Code. This verification must be compkted and returned to our offcce before we are permitted to issue the permit OVER I OWNER BUILDER INFORIN A.TION Dear Property Ow -!r: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the mcv re is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I Wing ivtic.B.O. N1 nspection NOTE: Tris Owner -Builder Information is required by Section 19810 of rhe Californla Health and Safely Cods OVER